Danbury, CT, 06813, USA
40 days ago
Outreach Care Specialist
**Outreach Care Specialist** **Location** : This is a community/field based position in **Connecticut** . Seeking candidates in the **Meriden,** **Waterbury, Torrington and Danbury, CT** area **.** The **Outreach Care Specialist** is responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals. **How you will make an impact:** + Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. + Assesses member compliance with medical treatment plans via telephone or through on-site visits. + Identifies barriers to plan compliance and coordinates resolutions. + Identifies opportunities that impact quality goals and recommends process improvements. + Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider. + Coordinates identification of and referral to local, state or federally funded programs. + Coaches members on ways to reduce health risks. + Prepares reports to document case and compliance updates. + Establishes and maintains relationships with agencies identified in appropriate contract. **Minimum Requirements:** + Requires a high school diploma and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences :** + Bilingual candidates preferred - Spanish and/or Portuguese strongly preferred. + BS/BA degree in a related field preferred. + Experience with EHR (electronic health records) systems. + For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Confirm your E-mail: Send Email